More and more people are hearing about this important new type of health insurance. Critical Illness (CI) coverage provides a lump sum benefit upon diagnosis and survival of many types of conditions. The claim money can be used as you wish - for mortgage payments, medical care, travel costs, hiring a nanny, or keeping your business running while you recover.
Most major Canadian insurers offer a version of this product, which can vary significantly. Below is some information to help you make an informed decision about whether this insurance is right for you and what to look for.
Pricing: Premiums are dependent on several factors, including your age, gender, whether you smoke, the amount of coverage and the structure of the plan. CI protection costs more than life insurance, as at young ages you are more likely to make a CI claim.
Coverage: Having an expert advisor is key when purchasing CI insurance, because there are so many factors to consider when selecting your plan. The number of covered conditions is a prime factor. Several bank plans cover only three (!), whereas many individual plans cover 20+ conditions. Cancer, heart attack, and stroke should be covered.
Also available in the market, coverage for: Parkinson's, Alzheimer's, Cystic fibrosis, Brain tumor, Multiple sclerosis, Kidney failure, Coronary artery bypass, Severe burns, Occupational HIV infection, Paralysis, Serious head injury, Coma, Aortic surgery, Blindness, Deafness, Heart valve replacement, Loss of limbs, Loss of speech, Major organ transplant.
Satisfying a claim: Each contract has specific and measurable criteria for making a claim for each type of illness. These criteria are now regulated by the Canadian Life and Health Insurance Association (CLHIA) so that they do not vary between insurers on new policies. Sample contract provisions can be read ahead of applying for a policy.
Plan Structure: CI insurance is offered in term and permanent form, in amounts varying from $25,000 to several million dollars. The most cost effective coverage is Term 10, where rates are guaranteed in 10 year intervals. Permanent insurance is available to age 75 or 100, and while the premiums are higher intially rates are guaranteed and level for the duration of the plan. Permanent plans offer the added perk of selecting Return of Premiums (ROP). This is a rider that will entitle the policyholder to a return of their money after a minimum period with no claims. ROP provisions can vary widely, so if this is of interest it is important to have a knowledgeable advisor.
Sample Monthly Premium Costs:
You may have noticed I'm not a big fan of bank mortgage insurance!
I think that having insurance in place for your family is really important, and if you are going to to the trouble of putting insurance in place ideally you buy a plan that puts you in the driver's seat in terms of the premiums and coverage.
This is a very unselfish and potentially life changing purchase - you're buying it to make sure you and your loved ones are taken care of - so taking a little extra time to find out more is worth it.
#1: coverage should be guaranteed after your policy is approved and issued. This includes the amount you're covered for, the contract wording and premiums.
With a bank plan, you are part of a group contract and not an individual contract. Guess who is the owner and beneficiary of the group contract? The bank! Your bank coverage is not guaranteed, rates are not guaranteed, and yes, unfortunately, the contract wording can be changed by the lender without your approval. Please read the fine print because there may be exclusions such situations as for acts of war, terrorism or a pre-existing medical condition.
With an individual plan, for as long as you continue to pay the premiums, your contract is guaranteed and cannot be changed by the insurer once it is approved and issued.
#2: you should be able to choose your own beneficiaries. With a bank life insurance plan, the bank is always the beneficiary. One of the great benefits of having an individual policy is that you can select exaclty who you want the insurance proceeds to be paid to. These proceeds are paid directly and tax free to your beneficiary who can use the money as needed. That may not necessarily mean retiring the mortgage, as it could be more important to pay for time off work or to fly in family members.
#3: your coverage should be customized and portable. Bank insurance is akin to one-size-fits-all clothing. The plans are the same for every customer and don't take into account the specifics of your life and situation.
With an individual plan, you can tailor the coverage to take into account items other than a mortgage, such as a student loan, university fund for your kids, or the fact that you are a business owner.
If you change lenders, your insurance should move with you uninterrupted. Individual insurance is totally portable and not impacted if you change jobs, change cities, or pay off or move your mortgage. With a bank plan, your coverage ends if you change lenders.
#4: critical illness insurance should be comprehensive. Some bank plans cover only three illnesses under their plans, and there may be pre-existing conditions clauses that you aren't aware of in the fine print.
With an individual CI plan, you can design your plan to include more than 20 conditions and even opt to get a return of premiums if no claims are made. Plus, your coverage and costs are guaranteed.
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We're often able to save our clients 30% compared to their current bank plan premiums. For a free rate comparison of your bank mortgage insurance and individual protection, please call us at 604.872.2866 or request a quote here.
Sincerely,
Rachel von Sturmer
Many of our clients are champions of the environment, and we are proud to work on their behalf to provide benefits to employees in the most sustainable manner possible.
The insurance industry is still a very paper intensive business; but we are doing what we can to improve the situation. Here are the top 5 strategies that True Benefits suggests to create an effective and conscientious benefits plan.
#1: Suppress Printed Materials: True Benefits can arrange with your insurance carrier to reduce the printed material produced. Employee benefit booklets, contracting, and administrative guides can all be offered in digital format. Employees can log into a secure website that will contain all of their benefits details.
#2: Implement Online Management: Plan Administrators can save time and reduce paperwork by managing the plan online, using features such as archived billing and instant reporting; employees can set up direct deposit and email claims notifications, and access coverage information. True Benefits works one-on-one to train your Administrator, and review the online system with employees as a group.
#3: Offer Pay Direct Claims: A pay-direct card enables employees to submit claims directly from the point of sale to the insurer. This saves the employee from filling out a paper form, while offering the benefit of instant reimbursement.
#4: Choose the Right Insurer: Several carriers now offer employees the ability to submit their claims directly over the internet using a secure online portal. Claims can be adjudicated with no paperwork and paid directly into the employee’s bank account. An email confirmation is sent instead of the traditional mailed statement.
#5: Encourage and Support Employee Wellness: Offering an Employee Wellness Program provides employees with a confidential resource to make healthy choices such as quitting smoking, improving nutrition or fitness, and managing stress. Employees feel more engaged when their place of business pursues making a positive difference in their lives. Best of all, many insurers are now offering Wellness Programs as a complimentary component of their extended health care coverage.
At True Benefits our focus is employee benefits; we specialize in helping small and mid-sized BC businesses create fantastic plans. The clients we work with care deeply about their employees and are recognized for providing some of the most creative and sought after benefits available.
Benefits Specialist Rachel von Sturmer has years of experience managing plans for a wide variety of clients, ranging from sole proprietors to large companies and associations. She holds the Certified Financial Planner (CFP) and Group Benefits Associate (GBA) designations. She can be reached at rachel@truebenefits.ca or 604.872.2866.
One of the most common questions about life insurance we get is how to qualify for it. What is "evidence of insurability", what is a pre-existing condition, and what if I have been diagnosed with a major illness like cancer, a heart attack, or diabetes, or declined for insurance in the past?
It is not impossible to qualify for insurance even if you have been diagnosed with a serious illness. Insurers call a medical condition that has been diagnosed a "pre-existing condition". The rates may not be standard, but insurers may be able to offer coverage depending on the specific condition, how long ago you were diagnosed, and your current treatment and lifestyle.
True Benefits has recently been able to secure coverage for clients with past: skin cancer, Type 1 Diabetes, Gestational Diabetes, heart attack, and cancer. Other situations that we've been able to secure coverage for clients include: past drug or alcohol abuse, and dangerous sports or avocations such as scuba diving, heli-skiing, and racing cars.
Every insurer asks for medical evidence with the application for insurance. The type of evidence will depend on several factors: the applicant's age, the amount of coverage applied for. To give you an idea of the range, a 25 year old applying for $200,000 of insurance may not be required to provide any medical evidence besides a health questionnaire, whereas a 60 year old applying for $2 million of coverage will need to see a nurse for blood and urine samples, a resting EKG, blood pressure, weight and height readings.
If you have been diagnosed with a medical condition, declined for insurance or offered non-standard rates in the past (also called a "rating" or "substandard rates"), insurers will also likely ask for an APS (Attending Physician Statement).
All of these items are paid for by the insurer, and True Benefits can arrange to have the lab results sent to your doctor so you can review them.
One of the best things to do if you suspect getting insurance may be a challenge is to ask your advisor to gather preliminary guidances for you. This is something we do for all of our clients.
A confidential description of your medical history, lifestyle, build, age and treatments is provided to the top Canadian underwriters (no names, birthdates or other identifying information should be provided to the carrier in a preliminary request). The insurer can then provide us with an estimate of potential rates, allowing the client to choose the most attractive insurer to apply with. It is best to do this before completing any applications.
A recent preliminary guidance for a client with a history of cancer showed that one carrier was able to offer standard rates, whereas the others indicated sub-standard ratings would likely be applied. The client applied to the insurer with the best offer and was able to obtain standard rates. The guidances allowed True Benefits to recommend the best underwriter, whereas if we had gone with the insurer offering the "cheapest" standard rates, the client may have ended up paying more than necessary.
Did you know that up to one third of applications for life and critical illness insurance are rated or declined? If you have any questions about applying for insurance, please feel free to call us at 604.872.2866 to discuss.
Assuris is a not-for-profit organization that protects Canadian policyholders against a loss of benefits due to the financial failure of a member company. All life insurance companies in Canada are required, by the federal, provincial and territorial regulators, to become members of Assuris. This means if you buy a policy from a Canadian insurer, you are protected. What is the coverage offered by Assuris? If your life insurance company fails, your policies will be transferred to a solvent company. Assuris guarantees that you will retain at least 85% of the insurance benefits you were promised. Insurance benefits include Death, Health Expense, Monthly Income and Cash Value. Your deposit type products will also be transferred to a solvent company. For these products, Assuris guarantees that you will retain 100% of your Accumulated Value up to $100,000. Deposit type products include accumulation annuities, universal life overflow accounts and dividend deposit accounts. Products that are covered by Assuris: Life Insurance, Critical Illness Insurance, Health Expense, Disability Income, Long Term Care Insurance, Annuities, Segregated Funds and Group Insurance. True Benefits sells only Canadian insurer products. All of our clients have Assuris' protection. For more information, visit www.assuris.ca.
Here are monthly Term 10 Life Insurance rates for a healthy, non-smoker as of March 2012:
| Women | |||
| $250,000 | $500,000 | $750,000 | |
| Age 25 | $12 | $18 | $24 |
| Age 35 | $14 | $22 | $30 |
| Age 45 | $22 | $35 | $51 |
| Age 55 | $52 | $88 | $130 |
| Men | |||
| $250,000 | $500,000 | $750,000 | |
| Age 25 | $18 | $28 | $39 |
| Age 35 | $19 | $29 | $42 |
| Age 45 | $30 | $53 | $78 |
| Age 55 | $72 | $135 | $201 |
For a free personalized insurance quote, click here.
"Rachel is professional, courteous and very knowledgeable while providing outstanding customer service. She is well prepared, delivers personal service, and understands our desire to provide the best possible benefit plan to our employees in the most cost effective manner."
"I appreciate having a person who is both local and accessible, and was impressed with the initial presentation outlining the options available to us. It is extremely helpful to have Rachel advocating on our behalf."
"True Benefits has totally met our needs. Rachel gives personalized attention, and is very thorough. She has suggested many good ideas that we have used to benefit our employees."
"I have referred many clients to Rachel in the past, and without exception, they have all commented to me on her professionalism, vast industry knowledge, great service, and fast response time."
Thank you for everything that you have done for our family. We are grateful for all your hard work. We look forward to working with you again in the future.
"True Benefits has an understanding and awareness of the importance of an effective benefits program. They're proactive in looking for cost effective improvements to plan design and cost containment strategies. My expectations were exceeded - Rachel delivered as promised in a timely manner."
"Thank you Rachel. Great service as always. You anticipated our needs."
I used True Benefits to sort through a tricky health insurance issue related to immigration status and an expired work permit. Rachel recommended a cost effective solution and quickly verified the policy was the best choice for my situation. My new health coverage was effective within 2 hours of my initial call to Rachel! I highly recommend working with Rachel at True Benefits for cost effective solutions and friendly and efficient service.
Your attention to detail and willingness to never to never take "no" for an answer on my behalf left me in awe of your business ethics.
I will continue to use your services, based on your work ethic and my ability to trust that the policy you are suggesting is perfect for me.
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